19 Harley St, London, W1G 9QJ, UK

[Epidemiologic, clinical and microbiological characteristics of nosocomial urinary infection in the spinal cord lesioned patient]

UNLABELLED: Urinary infections constitute one of the main causes of intrahospitalary infections. At the Clinic for the attention of spinal cord injured (SCI) patients, we observed that these can be the causes of high incidence rates as a consequence of multiple risk factors associated with the neurogenic bladder as: vesical urethral reflux, vesicle lithiasis, diverticula and pseudodiverticula, urethral stenosis and permanent or intermittent catheterization. OBJECTIVES: To describe forms of presentation of urinary tract infections (UTI) in spinal cord lesioned patients with neurogenic bladder as well as their microbiological behavior. PATIENTS AND METHOD: We performed a descriptive, retrospective-type study on 28 patients in order to schedule a neurorestorative treatment for the affectation of the SCI for six months. They all received clinical, imaging test and bacteriologic assessment, that is, urocultures, uretheral and vaginal exudates to determine risk factors, forms of presentation of the infection, as well as associated complications and microbiological behavior. RESULTS: The most frequent forms of presentation of infections are: recurrent symptomatic bacteriuria, asymptomatic bacteriuria, bacterial urethritis, bacterial vaginosis and acute pyelonephrites. Most acute germs are: E. coli (for a 60% of isolation), followed by P. mirabilis (14%), K pneumoniae (10%), Staphylococcus sp. (4%), and other enterobacteria. Sensitiveness to aminoglycosides was kept high, where we observed a growing resistance to sulphas (>70%) and fluoroquinolones (>45%) as well as the frequent circulation of multirresistant microorganisms. CONCLUSIONS: Clinical peculiarities of urinary infections in the patient with neurogenic bladder, allow to perform more adequate strategies for treatment as to the clinical, microbiological and epidemiologic criteria

Keywords : Adolescent,Adult,Catheterization,complications,Cross Infection,diagnosis,epidemiology,Female,Humans,Incidence,Male,microbiology,Middle Aged,Retrospective Studies,Risk Factors,Spinal Cord,Spinal Cord Injuries,Urinary Tract Infections,, Clinical,Microbiological,Characteristics, spine specialist nhs

Date of Publication : 2007 Jul

Authors : Hernandez GE;Zamora PF;Martinez AM;Valdez FM;Alberti AE;

Organisation : Centro Internacional de Restauracion Neurologica, Centro de Investigaciones Medico-Quirurgicas, Habana, Cuba. elizabeth.hdez@infomed.sld.cu

Journal of Publication : Actas Urol Esp

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/17902471

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Epidemiologic, clinical and microbiological characteristics of nosocomial urinary infection in the spinal cord lesioned patient | Botox neck

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810